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Longitudinal melanonychia striata mimicking a melanoma during pregnancy

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cases of primary vulvar Kaposi’s sarcoma in HIV-negative patients have been reported in the literature. There are several treatments options for the primary vulval classic Kaposi’s sarcoma. Observation without specific… Click to show full abstract

cases of primary vulvar Kaposi’s sarcoma in HIV-negative patients have been reported in the literature. There are several treatments options for the primary vulval classic Kaposi’s sarcoma. Observation without specific treatment is an alternative for patients who have asymptomatic lesions. If there is a single symptomatic nodule, excision alone may provide sustained local tumour control, but new lesions commonly develop at other sites. However, in case of multiple cutaneous lesions in a confined anatomic area, radiation, cryotherapy and laser therapy may be useful. We present a new case of a female patient, who was HIV negative and presented with multiple Kaposi’s sarcoma lesions on the labia majora of the vulva. In conclusion, despite primary Kaposi’s sarcoma of the vulva being extremely rare, it is important to include it when considering differential diagnoses, even in HIV-negative patients.

Keywords: longitudinal melanonychia; kaposi sarcoma; melanonychia striata; mimicking melanoma; striata mimicking; hiv negative

Journal Title: Australasian Journal of Dermatology
Year Published: 2021

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